Crow Creek Therapeutics, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

M261929 Issued in MI

Legal business name

CROW CREEK THERAPEUTICS, LLC

Practice address

23939 Research Dr
Farmington Hills, MI 48335-2630

Phone

(313) 634-4856

NPI assigned

Jun 27, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Gearheart

Title

President

Phone

(317) 813-4210

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rehab Medical LLC

  dba Rehab Medical, Inc.

  • Customized Equipment (DME)
  • Pensacola, FL
  • NPI 1497166920

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1790049468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 PRIORITY WAY SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403831",
            "telephone_number": "888-420-2337",
            "fax_number": "833-786-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23939 RESEARCH DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352630",
            "telephone_number": "313-634-4856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24619 Halsted Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483351611",
            "country_code": "US",
            "telephone_number": "888-420-2337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27260 Haggerty Rd",
            "address_2": "STE A13",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483313410",
            "country_code": "US",
            "telephone_number": "888-420-2337 x528",
            "fax_number": "866-228-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROW CREEK THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "GEARHEART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-813-4210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "M261929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790049468",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Crouch
• Christy Crouse
• Maddyson K Crouse
• Sidney Crouse
• Taylor Crouse
• Bianca Crow
• Destiny Crowden, RBT
• Adeysha Crowder
• Shelterria Crowder
• Megan Crowe

• Durable Medical Equipment & Medical Supplies in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.